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General NPI Number Information
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NPI Number | 1407072184
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Entity Type | Individual
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Provider Name | COLLEEN J THORPE ND, LAC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 510 ORIENT ST.
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City | MEDINA
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State | NY
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Zip | 14103-1631
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Country | US
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Telephone | 585-866-9025
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Fax | 406-233-6046
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Provider Business Mailing Address
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Address Line | 510 ORIENT ST.
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City | MEDINA
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State | NY
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Zip | 14103-1631
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Country | US
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Telephone | 585-866-9025
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Fax | 406-233-6046
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0084
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License Number State | MT
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